MedicaidAdministrativeMedium impact
Attention Provider Type 17 (Special Clinics) Specialty 180 (Rural Health Clinic): Error Code 5052 Updated to Apply to Encounter Code T1015
Nevada Medicaid·NV · Family Medicine, General Practice·Provider Enrollment
Effective date
Nov 10, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has updated error code 5052 to prevent duplicate crossover claims for encounter code T1015 (Clinic Visit/Encounter, All-Inclusive) submitted by Rural Health Clinics. Duplicate submissions will now be denied with error code 5052 to ensure proper payment processing.
Action Required
By November 10, 2025: Rural Health Clinics (Provider Type 17, Specialty 180) in Nevada must ensure they do not submit duplicate crossover claims for encounter code T1015. Update billing processes to track submitted crossover claims and prevent duplicate submissions. Claims denied with error code 5052 will not be automatically reprocessed.